SPINAL INJURY Flashcards
0
Q
WHAT IS THE Rx FOR PTS W ISOLATED NEUROGENIC SHOCK
A
UP TO 500mL NORMAL SALINE BOLUS (IV)
=> TO CORRECT HYPOTENSION
* NO FURTHER FLUID SHOULD BE GIVEN IF SCI IS THE SOLE INJURY
1
Q
WHAT IS NEUROGENIC SHOCK
A
SHOCK DUE TO SPINAL CORD INJURY WHICH AFFECTS THE AUTONOMIC NERVOUS SYSTEM. INJURY TO THESE NERVES CAUSE THE WALLS OF THE BLOOD VESSELS TO RELAX => DECREASED HR (BRADY) AND HYPOTENSION
2
Q
IF PT MEETS MAJOR TRAUMA CRITERIA FOR SPINAL INJURY WHAT IS THE ACTION
A
MX AIRWAY PROVIDE SPINAL IMMOBILISATION ADMINISTER PAIN RELIEF MX HYPOVOLAEMIA TX WITHOUT DELAY TO APPROPRIATE RECEIVING HOSPITAL
3
Q
IF PT DOESN’T MEET MAJOR TRAUMA CRITERIA FOR SPINAL INJURY
A
BUT HAS ANY ONE OF THE FOLLOWING = SPINAL IMMOBILISE SUNDASH SPINAL PAIN/BONY TENDERNES UNCONSCIOUSNESS/LOC/ACS NEUROLOGICAL DEFICIT DRUG/ALCOHOL AGE >55 SIGNIFICANT DISTRACTING INJURY HISTORY OF BONE DISEASE
